Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Shepherd Center

Atlanta, GA · CCN 112003 · Rates published

20,496 distinct procedures filed
27 distinct payers
555,848 rate rows
2026-09-21 last MRF observed
Data quality

550,853 of 555,848 rate rows are consumer-grade (99.1%)

4,995 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 2,414
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,114
placeholder amount (≤ $0.02) — excluded from medians 302
percent-of-charges filed in the dollar field — excluded from medians 165
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://shepherd.org/wp-content/uploads/51-0141601_shepherd-center_standardcharges-csv.zip
Found on page https://www.shepherd.org/policies/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 0699b56f1440bbb9… · 3,996,944 bytes · first seen 2026-09-21

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 4 $3,710,000.00 $3,932,600.00 $3,710,000.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,327,159.88 $3,526,789.47 $3,327,159.88 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 4 $3,286,000.00 $3,483,160.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 4 $2,968,000.00 $3,146,080.00 $2,968,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,178,938.07 $2,422,500.00 $2,354,513.02 nat. median
$2,467,989
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $421,728.84 $559,680.00 $523,452.56 nat. median
$739,658
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $507,687.00 $538,148.22 $507,687.00 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $503,454.53 $533,661.80 $503,454.53 nat. median
$623,527
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $496,390.21 $526,173.62 $496,390.21 nat. median
$640,950
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $395,380.00 $476,406.40 $449,440.00 nat. median
$592,235
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $255,132.00 $518,485.12 $425,220.00 nat. median
$608,239
0.7× median
Q2040
HCPCS 		Incobotulinumtoxin A 1 $324,900.00 $324,900.00 $324,900.00 nat. median
$10,345
outlier · 31.4×
3
MS_DRG 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 4 $152,818.30 $188,572.98 $188,572.98 nat. median
$190,359
1.0× median
003
OTHER 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 3 $152,818.30 $188,572.98 $188,572.98 nat. median
$165,355
1.1× median
4
MS_DRG 		Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 4 $117,190.94 $139,642.88 $139,642.88 nat. median
$126,461
1.1× median
004
OTHER 		Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 3 $117,190.94 $139,642.88 $139,642.88 nat. median
$118,265
1.2× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 4 $35,606.26 $128,001.14 $128,001.14 nat. median
$18,640
outlier · 6.9×
163
OTHER 		Major Chest Procedures W Mcc 3 $121,014.03 $128,001.14 $128,001.14 nat. median
$47,193
outlier · 2.7×
164
MS_DRG 		Major Chest Procedures W Cc 4 $35,606.26 $128,001.14 $128,001.14 nat. median
$24,221
outlier · 5.3×
165
OTHER 		Major Chest Procedures Without Cc/mcc 3 $35,606.26 $128,001.14 $128,001.14 nat. median
$18,295
outlier · 7.0×
163
MS_DRG 		Major Chest Procedures W Mcc 4 $121,014.03 $128,001.14 $128,001.14 nat. median
$42,636
outlier · 3.0×
164
OTHER 		Major Chest Procedures W Cc 3 $35,606.26 $128,001.14 $128,001.14 nat. median
$19,170
outlier · 6.7×
981
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 $95,678.64 $119,776.05 $119,776.05 nat. median
$436
outlier · 274.8×
981
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 4 $95,678.64 $119,776.05 $119,776.05 nat. median
$43,609
outlier · 2.7×
987
MS_DRG 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 4 $83,386.51 $115,156.08 $115,156.08 nat. median
$31,832
outlier · 3.6×
987
OTHER 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 $83,386.51 $115,156.08 $115,156.08 nat. median
$547
outlier · 210.3×
166
OTHER 		Other Resp System O.r. Procedures W Mcc 3 $99,202.14 $112,111.54 $112,111.54 nat. median
$39,056
outlier · 2.9×
166
MS_DRG 		Other Resp System O.r. Procedures W Mcc 4 $99,202.14 $112,111.54 $112,111.54 nat. median
$35,655
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis W Mv >96 Hours 4 $82,082.60 $98,633.41 $98,633.41 nat. median
$62,577
1.6× median
870
OTHER 		Septicemia Or Severe Sepsis W Mv >96 Hours 3 $82,082.60 $98,633.41 $98,633.41 nat. median
$724
outlier · 136.2×
207
OTHER 		Respiratory System Diagnosis W Ventilator Support >96 Hours 3 $79,217.39 $93,298.22 $93,298.22 nat. median
$64,908
1.4× median
207
MS_DRG 		Respiratory System Diagnosis W Ventilator Support >96 Hours 4 $79,217.39 $93,298.22 $93,298.22 nat. median
$59,324
1.6× median
853
OTHER 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 $72,693.66 $81,859.45 $81,859.45 nat. median
$16,628
outlier · 4.9×
853
MS_DRG 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 4 $72,693.66 $81,859.45 $81,859.45 nat. median
$45,362
1.8× median
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 21 $33,498.60 $100,495.80 $78,163.40 nat. median
$78
outlier · 996.2×
574
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis W Cc 3 $74,292.94 $75,069.64 $75,069.64 nat. median
$31,161
outlier · 2.4×
573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis W Mcc 3 $75,069.64 $77,052.66 $75,069.64 nat. median
$50,190
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis W Mcc 4 $75,069.64 $77,052.66 $75,069.64 nat. median
$58,052
1.3× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis W Cc 4 $74,292.94 $75,069.64 $75,069.64 nat. median
$32,307
outlier · 2.3×
843
MS_DRG 		Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 4 $35,606.26 $75,050.31 $75,050.31 nat. median
$18,627
outlier · 4.0×
480
OTHER 		Hip & Femur Procedures Except Major Joint W Mcc 3 $74,292.94 $75,050.31 $75,050.31 nat. median
$1,155
outlier · 65.0×
496
OTHER 		Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 3 $35,606.26 $75,050.31 $75,050.31 nat. median
$18,986
outlier · 4.0×
736
OTHER 		Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 3 $35,606.26 $75,050.31 $75,050.31 nat. median
$26
outlier · 2924.8×
020
OTHER 		Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 3 $39,036.92 $75,050.31 $75,050.31 nat. median
$71,035
1.1× median
492
MS_DRG 		Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 4 $74,292.94 $75,050.31 $75,050.31 nat. median
$33,619
outlier · 2.2×
265
MS_DRG 		Aicd Lead Procedures 4 $45,113.36 $75,050.31 $75,050.31 nat. median
$33,634
outlier · 2.2×
027
OTHER 		Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 3 $27,137.22 $75,050.31 $75,050.31 nat. median
$19,764
outlier · 3.8×
577
OTHER 		Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 3 $35,606.26 $75,050.31 $75,050.31 nat. median
$24,888
outlier · 3.0×
505
MS_DRG 		Foot Procedures Without Cc/mcc 4 $45,113.36 $75,050.31 $75,050.31 nat. median
$17,216
outlier · 4.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 4 $27,137.22 $75,050.31 $75,050.31 nat. median
$63,829
1.2× median

Other procedures at this hospital

Browse this hospital's 20,496 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 4 4 — — $45,113.36 $65,153.14 $65,153.14 2026-09-21
247 OTHER Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 3 3 — — $45,113.36 $65,153.14 $65,153.14 2026-05-06
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 4 4 — — $45,113.36 $65,153.14 $65,153.14 2026-09-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 4 4 — — $45,113.36 $65,153.14 $65,153.14 2026-09-21
226 OTHER Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 3 3 — — $45,113.36 $65,153.14 $65,153.14 2026-05-06
820 MS_DRG Lymphoma & Leukemia W Major O.r. Procedure W Mcc 4 4 — — $45,113.36 $65,491.43 $65,491.43 2026-09-21
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 4 4 — — $63,752.00 $65,491.43 $65,491.43 2026-09-21
907 OTHER Other O.r. Procedures For Injuries W Mcc 3 3 — — $63,752.00 $65,491.43 $65,491.43 2026-05-06
826 OTHER Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 3 3 — — $45,113.36 $65,491.43 $65,491.43 2026-05-06
820 OTHER Lymphoma & Leukemia W Major O.r. Procedure W Mcc 3 3 — — $45,113.36 $65,491.43 $65,491.43 2026-05-06
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 4 4 — — $45,113.36 $65,491.43 $65,491.43 2026-09-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 3 — — $65,871.74 $65,871.74 $65,871.74 2026-09-21
463 OTHER Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Mcc 3 3 — — $65,735.29 $66,424.12 $66,424.12 2026-05-06
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Mcc 4 4 — — $65,735.29 $66,424.12 $66,424.12 2026-09-21
500 OTHER Soft Tissue Procedures W Mcc 3 3 — — $53,607.72 $66,496.61 $66,496.61 2026-05-06
500 MS_DRG Soft Tissue Procedures W Mcc 4 4 — — $53,607.72 $66,496.61 $66,496.61 2026-09-21
622 OTHER Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Mcc 3 3 — — $57,637.58 $68,468.31 $68,468.31 2026-05-06
622 MS_DRG Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Mcc 4 4 — — $57,637.58 $68,468.31 $68,468.31 2026-09-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 4 4 — — $39,036.92 $70,227.38 $70,227.38 2026-09-21
061 OTHER Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 3 3 — — $36,838.43 $70,227.38 $70,227.38 2026-05-06
064 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Mcc 3 3 — — $39,036.92 $70,227.38 $70,227.38 2026-05-06
61 MS_DRG Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 4 4 — — $36,838.43 $70,227.38 $70,227.38 2026-09-21
205 MS_DRG Other Respiratory System Diagnoses W Mcc 4 4 — — $38,391.30 $70,802.46 $70,802.46 2026-09-21
205 OTHER Other Respiratory System Diagnoses W Mcc 3 3 — — $38,391.30 $70,802.46 $70,802.46 2026-05-06
801 MS_DRG Splenectomy Without Cc/mcc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
799 MS_DRG Splenectomy W Mcc 4 4 — — $67,963.32 $71,991.28 $71,991.28 2026-09-21
799 OTHER Splenectomy W Mcc 3 3 — — $67,963.32 $71,991.28 $71,991.28 2026-05-06
800 OTHER Splenectomy W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
358 OTHER Other Digestive System O.r. Procedures Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
356 OTHER Other Digestive System O.r. Procedures W Mcc 3 3 — — $67,963.32 $71,991.28 $71,991.28 2026-05-06
357 OTHER Other Digestive System O.r. Procedures W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
620 MS_DRG O.r. Procedures For Obesity W Cc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
620 OTHER O.r. Procedures For Obesity W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
621 OTHER O.r. Procedures For Obesity Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 4 4 — — $67,963.32 $71,991.28 $71,991.28 2026-09-21
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
801 OTHER Splenectomy Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
357 MS_DRG Other Digestive System O.r. Procedures W Cc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
800 MS_DRG Splenectomy W Cc 4 4 — — $35,606.26 $71,991.28 $71,991.28 2026-09-21
116 MS_DRG Intraocular Procedures W Cc/mcc 4 4 — — $27,137.22 $73,117.27 $73,117.27 2026-09-21
135 MS_DRG Sinus & Mastoid Procedures W Cc/mcc 4 4 — — $27,137.22 $73,117.27 $73,117.27 2026-09-21
113 MS_DRG Orbital Procedures W Cc/mcc 4 4 — — $27,137.22 $73,117.27 $73,117.27 2026-09-21
137 MS_DRG Mouth Procedures W Cc/mcc 4 4 — — $27,137.22 $73,117.27 $73,117.27 2026-09-21
167 MS_DRG Other Resp System O.r. Procedures W Cc 4 4 — — $60,203.19 $73,117.27 $73,117.27 2026-09-21
167 OTHER Other Resp System O.r. Procedures W Cc 3 3 — — $60,203.19 $73,117.27 $73,117.27 2026-05-06
137 OTHER Mouth Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
135 OTHER Sinus & Mastoid Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
113 OTHER Orbital Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
116 OTHER Intraocular Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
579 OTHER Other Skin Subcut Tiss & Breast Proc W Mcc 3 3 — — $58,625.01 $73,233.26 $73,233.26 2026-05-06
579 MS_DRG Other Skin Subcut Tiss & Breast Proc W Mcc 4 4 — — $58,625.01 $73,233.26 $73,233.26 2026-09-21
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents 4 4 — — $65,153.14 $74,292.94 $65,153.14 2026-09-21
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents 4 4 — — $65,153.14 $74,292.94 $65,153.14 2026-09-21
248 OTHER Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
249 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent Without Mcc 4 4 — — $65,153.14 $74,292.94 $65,153.14 2026-09-21
249 OTHER Perc Cardiovasc Proc W Non-drug-eluting Stent Without Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
246 OTHER Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
843 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
480 OTHER Hip & Femur Procedures Except Major Joint W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
496 OTHER Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
736 OTHER Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
020 OTHER Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
492 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
265 MS_DRG Aicd Lead Procedures 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
027 OTHER Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
577 OTHER Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
505 MS_DRG Foot Procedures Without Cc/mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
307 OTHER Cardiac Congenital & Valvular Disorders Without Mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
504 OTHER Foot Procedures W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
405 OTHER Pancreas Liver & Shunt Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
662 OTHER Minor Bladder Procedures W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
20 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 4 4 — — $39,036.92 $75,050.31 $75,050.31 2026-09-21
628 OTHER Other Endocrine Nutrit & Metab O.r. Proc W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
616 OTHER Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Mcc 3 3 — — $70,761.01 $75,050.31 $75,050.31 2026-05-06
011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
492 OTHER Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
665 OTHER Prostatectomy W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
659 OTHER Kidney & Ureter Procedures For Non-neoplasm W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
553 OTHER Bone Diseases & Arthropathies W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
737 OTHER Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
748 OTHER Female Reproductive System Reconstructive Procedures 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
749 OTHER Other Female Reproductive System O.r. Procedures W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
22 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage Without Cc/mcc 4 4 — — $39,036.92 $75,050.31 $75,050.31 2026-09-21
616 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Mcc 4 4 — — $70,761.01 $75,050.31 $75,050.31 2026-09-21
470 OTHER Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
29 MS_DRG Spinal Procedures W Cc Or Spinal Neurostimulators 4 4 — — $38,969.40 $75,050.31 $75,050.31 2026-09-21
619 OTHER O.r. Procedures For Obesity W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
032 OTHER Ventricular Shunt Procedures W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
23 MS_DRG Cranio W Major Dev Impl/acute Complex Cns Pdx W Mcc Or Chemo Implant 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
489 MS_DRG Knee Procedures Without Pdx Of Infection Without Cc/mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
504 MS_DRG Foot Procedures W Cc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
578 OTHER Skin Graft Exc For Skin Ulcer Or Cellulitis Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
653 MS_DRG Major Bladder Procedures W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
244 OTHER Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
243 OTHER Permanent Cardiac Pacemaker Implant W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
742 OTHER Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
488 MS_DRG Knee Procedures Without Pdx Of Infection W Cc/mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
241 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe Without Cc/mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
259 OTHER Cardiac Pacemaker Device Replacement Without Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
258 OTHER Cardiac Pacemaker Device Replacement W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
81 MS_DRG Nontraumatic Stupor & Coma Without Mcc 4 4 — — $21,904.73 $75,050.31 $75,050.31 2026-09-21
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
241 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
617 OTHER Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Cc 3 3 — — $55,531.93 $75,050.31 $75,050.31 2026-05-06
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
329 OTHER Major Small & Large Bowel Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
023 OTHER Cranio W Major Dev Impl/acute Complex Cns Pdx W Mcc Or Chemo Implant 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
271 OTHER Other Major Cardiovascular Procedures W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
518 MS_DRG Back & Neck Proc Exc Spinal Fusion W Mcc Or Disc Device/neurostim 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
286 OTHER Circulatory Disorders Except Ami W Card Cath W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
306 OTHER Cardiac Congenital & Valvular Disorders W Mcc 3 3 — — $35,319.32 $75,050.31 $75,050.31 2026-05-06
287 OTHER Circulatory Disorders Except Ami W Card Cath Without Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
456 OTHER Spinal Fus Exc Cerv W Spinal Curv/malig/infec Or Ext Fus W Mcc 3 3 — — $42,754.52 $75,050.31 $75,050.31 2026-05-06
576 OTHER Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
734 MS_DRG Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy W Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
344 OTHER Minor Small & Large Bowel Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 4 4 — — $57,481.45 $75,050.31 $75,050.31 2026-09-21
435 OTHER Malignancy Of Hepatobiliary System Or Pancreas W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
307 MS_DRG Cardiac Congenital & Valvular Disorders Without Mcc 4 4 — — $21,904.73 $75,050.31 $75,050.31 2026-09-21
737 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
013 OTHER Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
653 OTHER Major Bladder Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
748 MS_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
750 OTHER Other Female Reproductive System O.r. Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
747 MS_DRG Vagina Cervix & Vulva Procedures Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
742 MS_DRG Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
746 MS_DRG Vagina Cervix & Vulva Procedures W Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
518 OTHER Back & Neck Proc Exc Spinal Fusion W Mcc Or Disc Device/neurostim 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
344 MS_DRG Minor Small & Large Bowel Procedures W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
475 OTHER Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
474 OTHER Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
481 OTHER Hip & Femur Procedures Except Major Joint W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
489 OTHER Knee Procedures Without Pdx Of Infection Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
488 OTHER Knee Procedures Without Pdx Of Infection W Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
483 OTHER Major Joint/limb Reattachment Procedure Of Upper Extremities 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
497 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
21 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 4 4 — — $39,036.92 $75,050.31 $75,050.31 2026-09-21
735 OTHER Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
625 MS_DRG Thyroid Parathyroid & Thyroglossal Procedures W Mcc 4 4 — — $57,481.45 $75,050.31 $75,050.31 2026-09-21
030 OTHER Spinal Procedures Without Cc/mcc 3 3 — — $38,969.40 $75,050.31 $75,050.31 2026-05-06
240 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
553 MS_DRG Bone Diseases & Arthropathies W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
734 OTHER Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
855 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure Without Cc/mcc 4 4 — — $21,904.73 $75,050.31 $75,050.31 2026-09-21
855 OTHER Infectious & Parasitic Diseases W O.r. Procedure Without Cc/mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
854 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
495 OTHER Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
747 OTHER Vagina Cervix & Vulva Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
665 MS_DRG Prostatectomy W Mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 4 4 — — $70,161.81 $75,050.31 $75,050.31 2026-09-21
738 OTHER Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
743 OTHER Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
746 OTHER Vagina Cervix & Vulva Procedures W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
843 OTHER Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
033 OTHER Ventricular Shunt Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
749 MS_DRG Other Female Reproductive System O.r. Procedures W Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
628 MS_DRG Other Endocrine Nutrit & Metab O.r. Proc W Mcc 4 4 — — $57,481.45 $75,050.31 $75,050.31 2026-09-21
493 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
503 MS_DRG Foot Procedures W Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
494 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
028 OTHER Spinal Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
330 MS_DRG Major Small & Large Bowel Procedures W Cc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
021 OTHER Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
662 MS_DRG Minor Bladder Procedures W Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
505 OTHER Foot Procedures Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
24 MS_DRG Cranio W Major Dev Impl/acute Complex Cns Pdx Without Mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
617 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Cc 4 4 — — $55,531.93 $75,050.31 $75,050.31 2026-09-21
481 MS_DRG Hip & Femur Procedures Except Major Joint W Cc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
081 OTHER Nontraumatic Stupor & Coma Without Mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
32 MS_DRG Ventricular Shunt Procedures W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Cc/mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
255 OTHER Upper Limb & Toe Amputation For Circ System Disorders W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
287 MS_DRG Circulatory Disorders Except Ami W Card Cath Without Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
711 MS_DRG Testes Procedures W Cc/mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
711 OTHER Testes Procedures W Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
625 OTHER Thyroid Parathyroid & Thyroglossal Procedures W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
080 OTHER Nontraumatic Stupor & Coma W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
286 MS_DRG Circulatory Disorders Except Ami W Card Cath W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
618 OTHER Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis Without Cc/mcc 3 3 — — $55,531.93 $75,050.31 $75,050.31 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
265 OTHER Aicd Lead Procedures 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
80 MS_DRG Nontraumatic Stupor & Coma W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
031 OTHER Ventricular Shunt Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
475 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 4 4 — — $70,161.81 $75,050.31 $75,050.31 2026-09-21
242 OTHER Permanent Cardiac Pacemaker Implant W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
618 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis Without Cc/mcc 4 4 — — $55,531.93 $75,050.31 $75,050.31 2026-09-21
270 OTHER Other Major Cardiovascular Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 4 4 — — $70,161.81 $75,050.31 $75,050.31 2026-09-21
30 MS_DRG Spinal Procedures Without Cc/mcc 4 4 — — $38,969.40 $75,050.31 $75,050.31 2026-09-21
258 MS_DRG Cardiac Pacemaker Device Replacement W Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
31 MS_DRG Ventricular Shunt Procedures W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
555 OTHER Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures W Cc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
28 MS_DRG Spinal Procedures W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
330 OTHER Major Small & Large Bowel Procedures W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
494 OTHER Lower Extrem & Humer Proc Except Hipfootfemur Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
735 MS_DRG Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
029 OTHER Spinal Procedures W Cc Or Spinal Neurostimulators 3 3 — — $38,969.40 $75,050.31 $75,050.31 2026-05-06
026 OTHER Craniotomy & Endovascular Intracranial Procedures W Cc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
497 OTHER Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
405 MS_DRG Pancreas Liver & Shunt Procedures W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
306 MS_DRG Cardiac Congenital & Valvular Disorders W Mcc 4 4 — — $35,319.32 $75,050.31 $75,050.31 2026-09-21
738 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 4 4 — — $74,292.94 $75,050.31 $75,050.31 2026-09-21
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
619 MS_DRG O.r. Procedures For Obesity W Mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
024 OTHER Cranio W Major Dev Impl/acute Complex Cns Pdx Without Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
493 OTHER Lower Extrem & Humer Proc Except Hipfootfemur W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
025 OTHER Craniotomy & Endovascular Intracranial Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
578 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
456 MS_DRG Spinal Fus Exc Cerv W Spinal Curv/malig/infec Or Ext Fus W Mcc 4 4 — — $42,754.52 $75,050.31 $75,050.31 2026-09-21
022 OTHER Intracranial Vascular Procedures W Pdx Hemorrhage Without Cc/mcc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 4 4 — — $70,161.81 $75,050.31 $75,050.31 2026-09-21
743 MS_DRG Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Cc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
503 OTHER Foot Procedures W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
555 MS_DRG Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 4 4 — — $45,113.36 $75,050.31 $75,050.31 2026-09-21
482 OTHER Hip & Femur Procedures Except Major Joint Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
469 OTHER Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 4 4 — — $35,606.26 $75,050.31 $75,050.31 2026-09-21
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 4 4 — — $27,137.22 $75,050.31 $75,050.31 2026-09-21
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis W Cc 3 3 — — $74,292.94 $75,069.64 $75,069.64 2026-05-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 4 4 — — $74,292.94 $75,069.64 $75,069.64 2026-09-21
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis W Mcc 3 3 — — $75,069.64 $77,052.66 $75,069.64 2026-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Mcc 4 4 — — $75,069.64 $77,052.66 $75,069.64 2026-09-21
239 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 3 3 — — $75,050.31 $79,601.39 $75,050.31 2026-05-06
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 4 4 — — $75,050.31 $79,601.39 $75,050.31 2026-09-21
252 OTHER Other Vascular Procedures W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
253 OTHER Other Vascular Procedures W Cc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
231 OTHER Coronary Bypass W Ptca W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
233 OTHER Coronary Bypass W Cardiac Cath W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Cath W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
231 MS_DRG Coronary Bypass W Ptca W Mcc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
233 MS_DRG Coronary Bypass W Cardiac Cath W Mcc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Cath W Mcc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
254 OTHER Other Vascular Procedures Without Cc/mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
253 MS_DRG Other Vascular Procedures W Cc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
252 MS_DRG Other Vascular Procedures W Mcc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
254 MS_DRG Other Vascular Procedures Without Cc/mcc 4 4 — — $75,050.31 $81,837.86 $75,050.31 2026-09-21
853 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 3 — — $72,693.66 $81,859.45 $81,859.45 2026-05-06
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 4 4 — — $72,693.66 $81,859.45 $81,859.45 2026-09-21
E0766 HCPCS Elec Stim Cancer Treatment 14 2 — — $8,815.27 $88,152.70 $66,114.53 2026-09-21
207 OTHER Respiratory System Diagnosis W Ventilator Support >96 Hours 3 3 — — $79,217.39 $93,298.22 $93,298.22 2026-05-06
207 MS_DRG Respiratory System Diagnosis W Ventilator Support >96 Hours 4 4 — — $79,217.39 $93,298.22 $93,298.22 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis W Mv >96 Hours 4 4 — — $82,082.60 $98,633.41 $98,633.41 2026-09-21
870 OTHER Septicemia Or Severe Sepsis W Mv >96 Hours 3 3 — — $82,082.60 $98,633.41 $98,633.41 2026-05-06
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 24 21 $111,662.00 $55,831.00 50% off $33,498.60 $100,495.80 $78,163.40 2026-09-21
166 OTHER Other Resp System O.r. Procedures W Mcc 3 3 — — $99,202.14 $112,111.54 $112,111.54 2026-05-06
166 MS_DRG Other Resp System O.r. Procedures W Mcc 4 4 — — $99,202.14 $112,111.54 $112,111.54 2026-09-21
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 4 4 — — $83,386.51 $115,156.08 $115,156.08 2026-09-21
987 OTHER Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 3 — — $83,386.51 $115,156.08 $115,156.08 2026-05-06
981 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 3 — — $95,678.64 $119,776.05 $119,776.05 2026-05-06
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 4 4 — — $95,678.64 $119,776.05 $119,776.05 2026-09-21
165 MS_DRG Major Chest Procedures Without Cc/mcc 4 4 — — $35,606.26 $128,001.14 $128,001.14 2026-09-21
163 OTHER Major Chest Procedures W Mcc 3 3 — — $121,014.03 $128,001.14 $128,001.14 2026-05-06
164 MS_DRG Major Chest Procedures W Cc 4 4 — — $35,606.26 $128,001.14 $128,001.14 2026-09-21
165 OTHER Major Chest Procedures Without Cc/mcc 3 3 — — $35,606.26 $128,001.14 $128,001.14 2026-05-06
163 MS_DRG Major Chest Procedures W Mcc 4 4 — — $121,014.03 $128,001.14 $128,001.14 2026-09-21
164 OTHER Major Chest Procedures W Cc 3 3 — — $35,606.26 $128,001.14 $128,001.14 2026-05-06
4 MS_DRG Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 4 4 — — $117,190.94 $139,642.88 $139,642.88 2026-09-21
004 OTHER Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 3 3 — — $117,190.94 $139,642.88 $139,642.88 2026-05-06
3 MS_DRG Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 4 4 — — $152,818.30 $188,572.98 $188,572.98 2026-09-21
003 OTHER Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 3 3 — — $152,818.30 $188,572.98 $188,572.98 2026-05-06
Q2040 HCPCS Incobotulinumtoxin A 4 1 — — $324,900.00 $324,900.00 $324,900.00 2026-09-21
Q2053 HCPCS Brexucabtagene Car Pos T 9 5 — — $395,380.00 $476,406.40 $449,440.00 2026-09-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 6 — — $255,132.00 $518,485.12 $425,220.00 2026-09-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 4 — — $496,390.21 $526,173.62 $496,390.21 2026-09-21
Q2055 HCPCS Idecabtagene Vicleucel Car 7 4 — — $503,454.53 $533,661.80 $503,454.53 2026-09-21
Q2056 HCPCS Ciltacabtagene Car-pos T 7 4 — — $507,687.00 $538,148.22 $507,687.00 2026-09-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 6 — — $421,728.84 $559,680.00 $523,452.56 2026-09-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 6 — — $2,178,938.07 $2,422,500.00 $2,354,513.02 2026-09-21
J3393 HCPCS Inj Betibeglogene Autotemce 7 4 — — $2,968,000.00 $3,146,080.00 $2,968,000.00 2026-09-21
J3394 HCPCS Inj Lovotibeglogene Autotem 7 4 — — $3,286,000.00 $3,483,160.00 $3,286,000.00 2026-09-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $3,327,159.88 $3,526,789.47 $3,327,159.88 2026-09-21
J1411 HCPCS Inj Hemgenix Per Tx Dose 7 4 — — $3,710,000.00 $3,932,600.00 $3,710,000.00 2026-09-21
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